| NPI | 1235717448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036168938) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 036168938) |
| 208000000X Pediatrics (Licence: IL 036168938) | |
| 208D00000X General Practice (Licence: IL 336.125061) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-08-05 |